Martha Brewer, MS, LPC,LADC. Substance Abuse and Treatment

Transcription

1 Martha Brewer, MS, LPC,LADC Substance Abuse and Treatment

2 What is a substance use disorder? Long-term and chronic illness Can affect anyone: rich or poor, male or female, employed or unemployed, young or old, any race or ethnicity, any faith or religion. Four C s- compulsion, cravings, negative consequences, loss of control.

3 The Disease Model A condition that is chronic and for life, but one that that can be treated. A disease that, if left untreated and allowed to run its course, is ultimately fatal. A disease that robs the individual of the ability to control their consumption, which often results in taking less responsibility for their actions.

4 The Choice Model Proponents of the choice model of addiction argue that consumption of AOD is a choice. Individuals can choose to use AOD or choose not to. People considered weak, with poor willpower or moral failings.

5 Social Learning Model A person learns how to act by observing others in their environment and by repeating behaviors that produce positive consequences. Using AOD is learned through interactions with family, friends, or even popular media. The person learns they like how the use of AOD makes them feel positively reinforcing the behavior. Over time excessive AOD use creates

6 Why do some people develop a problem and some do not? Nobody knows for sure exactly what causes an addiction to AOD. Genetics-biological traits passed down through families. Environment Psychological traits Stress levels

7 Symptoms of a Substance Use Disorder Continued use despite negative consequences. Blaming others or circumstances for his/her problems. DENIAL! Denial is part of the illness. Tolerance- need to use increasingly larger amounts to get high. Cravings Loss of control Physical dependence or withdrawal

8 Triggers and cravings Definition: A trigger is a stimulus that has been repeatedly associated with Preparation for or anticipation of alcohol or other drug use The use alcohol or other drugs These stimuli include people, places, things,time of day, emotional states, and secondary drug use. Pavlov s dogs

9 Natural Rewards Elevate Dopamine Levels Pleasurable activities, such as eating and having sex, are associated with elevated dopamine levels. Initially, people take drugs hoping to chage their moods, perceptions, or emotional states. Translation- Hoping to change their brains. But then after people use drugs for a while, why can t they just stop?

10 Because Their brains have been rewired by drug use. Prolonged drug use changes the brain in fundamental and long lasting ways. Drugs of abuse (meth, cocaine, morphine, and even nicotine) produce elevations in dopamine levels.

11 Addiction is a brain disease expressed as compulsive behavior. Both developing and recovering from addiction depend on behavior and social context.

12 That s why addicts can t just quit. That s why treatment is essential!!!

15 Group and Individual Counseling Individual counseling- see the problem and help the person become motivated to change. Change, Change, Change! Repair damaged relationships with family and friends. Build new friendships with people who don t use AOD. Change people, places, and things. Create a recovery lifestyle. Group counseling is different in each

16 Accountability UA s Making amends- The 12 Steps. Serenity prayer- God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.

17 Substance Abuse Education and Life Skills Educational groups teach individuals about the symptoms and the effects of alcohol and drug use on their brains and bodies. With the use of DVD s, lectures, personal testimonies, individuals learn about their illness and how to manage it. Life skills- Training can include learning and practicing employment skills, leisure activities, social skills, communication skills, anger management, goal setting, and money and time management, and parenting skills.

18 Relapse Prevention Teaches people how to identify their relapse triggers, high risk situations, develop a well thought out relapse prevention plan, and how to handle stressful situations. Triggers- anything that makes a person crave a drug. Triggers are often connected to a person s past use. (Pavlov s dogs) Orientation to self-help groups- AA/NA and Celebrate Recovery.

19 Co-occurring or Dual diagnosis Many people with a substance abuse disorder also have emotional problems such as depression, anxiety, or post-traumatic stress disorder. Treating both the substance use and mental disorders increases the chances the person will recover. Treatment may include the use of medications such as antidepressants.

20 Family Education and Counseling Services May help families understand the disease and its causes, effects, and treatment. Family counseling is especially critical in treatment for adolescents. Parents need to be involved in treatment planning and follow up care decisions for the adolescent. Family members also need to participate as fully as possible in family counseling.

21 Follow Up Care A relapse disease The longer a person stays in treatment, including follow up, the more likely he/she is to stay in recovery. Follow up care for at least one 1 year. Returning to community will bring with it many temptations and cravings to use AOD. Half way house, sober living

22 Why does treatment take so long? Substance use disorders affect every part of a person s life. For that reason, treatment needs to affect every part of a person s life as well. Treatment involves more than helping someone stop using AOD. That s just the beginning. The person needs to relearn how to deal with stress, anger, or social situations and how to have fun without the use of AOD. Learning these new skills takes lots of work. Many people enter treatment only because of

23 Treatment- What will happen first? Clinical assessment- determines level of care and determines treatment that best suits the person served. Clinical assessment helps to develop effective treatment plan. Assessment continues throughout treatment. Substance of choice, amount, and length of time of AOD use, cultural issues around AOD use, medical history, effects of AOD use on person s life, current medical problems,

24 Treatment Plan Establishes goals and objectives. Person served and therapist work together to develop the treatment plan. Family participation. No one type of treatment is right for everyone; to work, the treatment needs to meet the person served individual needs.

25 Facts About Treatment According to the National Institute on Drug Abuse (NIDA) Treatment works, but only if a person is committed to their recovery. Counseling and behavioral therapies are vital and effective components of addiction treatment. Medications are sometimes necessary and beneficial in the treatment of addiction especially in combination with therapies and

FAMILY PROGRAM Addiction takes a toll not only on the individual, but on the family, as well. When using, addicts are selfish and selfcentered; their wants and needs are placed ahead of the ones they love.

TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than

Levels of Care Guide What Type of Drug Rehab Is Right for You? A Guide to Understanding Levels of Care in Addiction Treatment Looking for help for yourself or a loved one? Congratulations! You are on the

Common Drug Rehab Concerns Does drug rehab work? How do I find the right treatment program for my loved one s needs? Does my loved one need to detox prior to entering rehab? Can my loved one leave rehab

DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

How do we approach addiction? ADDICTION 101 A basic primer on addiction If the only tool you have is a hammer, you tend to see every problem as a nail. (Abraham Maslow) Definition of addiction Alcoholism

Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

Wesley Mental Health Drug and Alcohol Addiction Program Wesley Hospital Ashfield Journey together Mission Continuing the work of Jesus Christ in Word and deed Wesley Mission is an organisation with a long

Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

DEPARTMENT OF PSYCHIATRY 1153 Centre Street Boston, MA 02130 Who We Are Brigham and Women s Faulkner Hospital (BWFH) Department of Psychiatry is the largest clinical psychiatry site in the Brigham / Faulkner

PRESCRIPTION DRUG ABUSE prevention Understanding Drug Addiction Many people do not understand how someone could abuse drugs even when their life seems to be falling apart. It is often assumed that those

How HOLiSTIC REHAB Benefits You Table of Content Holistic Rehab Centers are More Popular than Ever The Need for Drug & Alcohol Rehabilitation Programs Alcohol Abuse and Addiction These Issues Need Treatment

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Believe Again in Life. In The future. In Yourself. At The Watershed, our passion is helping addicts and alcoholics

Addiction Recovery Services The Region s Premier Provider of Behavioral Health and Addiction Recovery Services How Many People Experience Behavioral Health Issues? You d be surprised at how many. Anyone

American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

What is Addiction Treatment? During 2000, almost 300,000 people entered addiction treatment services in New York State. On any given day, about 110,000 individuals are enrolled in New York State programs,

The Family Library DEPRESSION What is depression? Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. Also called

Alcohol and Drugs What If I'm Concerned About Someone Else's Drinking? Sometimes people live in homes where a parent or other family member drinks too much. This may make you angry, scared, and depressed.

About What is? Phoenix House is a nationally recognized and accredited behavioral healthcare provider, specializing in the treatment and prevention of substance use disorders and co-occurring substance

LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders

Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

Dual Diagnosis 1. Is the staff made up of a variety of professionals? Every parent wants to ensure that their child receives the best care possible. A good first step is to check the licenses and degrees

Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she

Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user

Addiction: Learned Behaviour or a Disease? 1 Addiction: Learned Behaviour or a Disease? By Ben Moller Over the last two hundred years or so, medical doctors, addiction counsellors, psychiatrists, psychologists

Chapter 13 What Is Medically Supervised Detoxification? T I have been a heroin addict for three years and am desperately trying to stop. As the withdrawal symptoms are very severe, the muscle cramps, shakes,

Substance Addiction A Chronic Brain Disease What you will Learn Addiction is a Brain Disease Understand the Structure and Pathways Associated with changes in the brain. Addiction is a Chronic Condition

Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

St. Catharines School for Girls, K.T. Topic 2- Health and Social Care in the Local and the Global Contexts 2B Contemporary issues of vulnerability 1. Drugs additions Prepared by Yeung Yeung Wai Yi What

Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants

Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score

CHRONIC PAIN AND RECOVERY CENTER Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL

Most programs focus on substance abuse and treat mental illness as a secondary issue due to the needs of their client populations. We believe that without properly addressing mental illness through appropriate

Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

information for families Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 3 5 6 7 8 9 10 Why do people with schizophrenia use drugs and alcohol? What is the impact of using substances

Understanding NICE guidance Information for people who use NHS services Antisocial personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

I am a principal and the Professional Training Coordinator at ACORN Food Dependency Recovery Service, a treatment and training program based in Sarasota, Florida. I have written and published several books,

Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

Caring for depression Aetna Health Connections SM Disease Management Program Get information. Get help. Get better. 21.05.300.1 B (6/08) Get back to being you How this guide can help you Having an ongoing

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently Asked Questions What is Naltrexone? Naltrexone is a prescription drug that effectively blocks the effects of heroin, alcohol,

Copyright Recovery Connection 9/3/2011 How to Choose the Right Drug & Alcohol Addiction Treatment Program A Free Resource for Friends, Family and You Welcome. We are glad you decided to look through this

ning For Successful Recovery Why is this important? There is no cure but recovery is possible You can be clean, sober and stable if you have a good plan and follow it A good treatment center will begin

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW TABLE OF CONTENTS What is Depression? 4 Symptoms of Depression 6 Substance Abuse as a Coping Mechanism 8 Which Occurs First? 10 Substance Abuse and the

DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical

Quick Start Guide The Recovery Book: Answers to All Your Questions About Addiction and Alcoholism and Finding Health and Happiness in Sobriety How To Use The Recovery Book Newcomers, start here: Are you

Recovery Worksheet The Voice of Addiction Worksheet How has my drug or alcohol use hurt key areas in my life? It s helpful to watch the video Who is on the slickrecovery.com website before completing this

Questions to Ask Each Rehab Facility Includes Notes and Recommendations Finding the right rehab can be grueling. Admissions personnel are there to convince you that their program is the best. It is your

Anxiety and are common in people with asthma. The good news is that there are effective treatments both for asthma and for anxiety and. With careful management, the symptoms of anxiety and can be treated

Addictions and Mental Health Division Programs Central Intake Referral Form The Central Intake Referral Form is used in the District of Nipissing by the North Bay Regional Health Centre s Addictions and

Overview Overview Founded in 1946, the Saint John Vianney Center is the longest running behavioral health treatment facility in North America for Catholic Clergy, Consecrated Men and Women Religious and

Substance Abuse Treatment Alternatives What You Should Know Tim Chapman, CSAC February 1 4, 2009 Introduction The purpose of this white paper is to provide information that will help you better understand

The Brain, Behavior, and Addiction Flo Hilliard University of Wisconsin-Madison Division of Continuing Studies Objectives Progress of science in addiction studies Why it is a brain disease Changing our

Saving Lives Through Recovery You or someone you love is abusing drugs or alcohol. You know it and you may be scared. You are not alone. Life does not have to continue this way. The fighting and uncertainty

FAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance

HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

The Farley Center at Williamsburg Place December 21, 2011 Seniors & Substance Abuse 22 Million Americans currently suffering with abuse or dependence 15.7% of Users 9.2% of Population Studies show that

Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs

1 of 6 6/3/2014 10:15 AM Return to Web version Depression Overview What is depression? When doctors talk about depression, they mean the medical illness called major depression. Someone who has major depression

The Behavioral Health Planning Council s Adult and Substance Abuse Subcommittees have undertaken the task of putting together a statewide services directory. The goal of this project is to secure information